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NPI Code Detail

MEDICARE: DOMINIC ALLEVA LPC

MEDICARE: DOMINIC ALLEVA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor4204TN

General Provider Information

NPI Number : 1538541354
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIC ALLEVA LPC
Provider Business Mailing Address
First Line : 660 S MOUNT JULIET RD STE 130
Second Line :
City : MOUNT JULIET
State : TN
Zip : 37122-6496
Country : US
Telephone Number : 865-588-3173
Fax Number : 615-369-8697
Provider Business Practice Location Address
First Line : 660 S MOUNT JULIET RD STE 130
Second Line :
City : MOUNT JULIET
State : TN
Zip : 37122-6496
Country : US
Telephone Number : 865-588-3173
Fax Number : 615-369-8697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2015
Last Update Date : 01/07/2026

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Directions to “ DOMINIC ALLEVA LPC” Practice Location

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